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invisallign.world Open in urlscan Pro
162.0.215.8  Public Scan

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URL: https://invisallign.world/get-started/contact-us.html
Submission: On February 28 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

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<form action="#" data-id="inv-con-us-en-contact-us">
  <div class="row">
    <div class="contactUs_heading-css__qU0Y4 col-md-12">
      <div>
        <p class="primary large text-center">Tell us about yourself:</p>
      </div>
    </div>
    <div class="col-md-12">
      <div class="row">
        <div class="col-md-6">
          <div class="row-age-radio contactUs_age-group-class__uGytL row">
            <div class="contactUs_am-field-css__x_YoB col-md-12"><label>I am a: * (Select one)</label></div>
            <div class="col-md-12">
              <div class="contactUs_radio-wrap__2nSzW contactUs_radio-btn-css__Vtwag contactUs_radio-age-grp__VLXet"><label class="contactUs_radio-style__QX440 contactUs_radio-user-type__VqKa3"><input type="radio" name="ageGroup" value="A teen"><span
                    class="contactUs_form-control__2DX7j ageGroup">teen</span></label><label class="contactUs_radio-style__QX440 contactUs_radio-user-type__VqKa3"><input type="radio" name="ageGroup" value="A parent (looking for my child)"><span
                    class="contactUs_form-control__2DX7j ageGroup">parent</span></label><label class="contactUs_radio-style__QX440 contactUs_radio-user-type__VqKa3"><input type="radio" name="ageGroup" value="An adult"><span
                    class="contactUs_form-control__2DX7j ageGroup">adult</span></label></div>
            </div>
          </div>
        </div>
        <div class="col-md-6">
          <div class="row-age-radio contactUs_patient-user-type__MHFw2 row">
            <div class="contactUs_patient-field-css__gJQHo col-md-12"><label><span>Are you currently in Invisalign<sup>®</sup> treatment?</span></label></div>
            <div class="col-md-12">
              <div class="contactUs_radio-wrap__2nSzW error-radio-btn"><label class="contactUs_radio-style__QX440"><input type="radio" name="isPatient" value="is invisalign patient" checked=""
                    class="contactUs_form-control__2DX7j isPatient"><span>yes</span></label><label class="contactUs_radio-style__QX440"><input type="radio" name="isPatient" value="not a invisalign patient"
                    class="contactUs_form-control__2DX7j isPatient"><span>no</span></label></div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="contactUs_info-text-css__DdD6z col-md-12"><label>Your info*</label></div>
    <div class="col-md-12">
      <div class="row">
        <div class="col-md-6">
          <div class="contactUs_form-group__Oxrtr"><label class="contactUs_has-float-label__oWgCl contactUs_form-field-label__J5A7i"><input type="text" name="firstName" value="" placeholder=" " class="contactUs_form-control__2DX7j firstName"><span
                class="contactUs_labelName__RGsgM">First name*</span></label></div>
        </div>
        <div class="col-md-6">
          <div class="contactUs_form-group__Oxrtr"><label class="contactUs_has-float-label__oWgCl contactUs_form-field-label__J5A7i"><input type="text" name="lastName" value="" placeholder=" " class="contactUs_form-control__2DX7j lastName"><span
                class="contactUs_labelName__RGsgM">Last name*</span></label></div>
        </div>
        <div class="col-md-6">
          <div class="contactUs_form-group__Oxrtr"><label class="contactUs_has-float-label__oWgCl contactUs_form-field-label__J5A7i"><input type="tel" name="age" value="" id="dob" placeholder=" "
                pattern="(1[0-2]|0[1-9])/(1[0-9]|0[1-9]|2[0-9]|3[0-1])\/\d\d\d\d" data-valid-example="11/11/2018" class="masked contactUs_form-control__2DX7j age" maxlength="10" data-placeholder="MM/DD/YYYY"><span
                class="contactUs_labelName__RGsgM">Date of Birth*</span><span id="dobMask" class="contactUs_labelMask__bpFl2" aria-hidden="true"></span></label></div>
        </div>
        <div class="col-md-6">
          <div class="contactUs_form-group__Oxrtr"><label class="contactUs_has-float-label__oWgCl contactUs_form-field-label__J5A7i"><input type="email" name="email" value="" placeholder=" " class="contactUs_form-control__2DX7j email"><span
                class="contactUs_labelName__RGsgM">Email address*</span></label></div>
        </div>
        <div class="col-md-6">
          <div class="contactUs_form-group__Oxrtr"><label class="contactUs_has-float-label__oWgCl contactUs_form-field-label__J5A7i"><input type="tel" name="phone" value="" id="phone" placeholder=" " pattern="\d{3}-\d{3}-\d{4}"
                class="masked contactUs_form-control__2DX7j phone" maxlength="12" data-placeholder="XXX-XXX-XXXX"><span class="contactUs_labelName__RGsgM">Contact phone*</span></label></div>
        </div>
        <div class="col-md-6">
          <div class="contactUs_form-group__Oxrtr"><label class="contactUs_has-float-label__oWgCl contactUs_form-field-label__J5A7i"><input type="tel" name="zip" value="" id="zip" placeholder=" "
                pattern="^[0-9]{5}(-[0-9]{4})?$|^[AaBbCcEeGgHhJjKkLlMmNnPpRrSsTtVvXxYy][0-9]([A-Z]|[a-z]) ?[0-9]([A-Z]|[a-z])[0-9]?|[a-zA-Z]{2} [0-9]{2}?$" data-charset="" class="masked contactUs_form-control__2DX7j zip" maxlength="5"
                data-placeholder="XXXXX"><span class="contactUs_labelName__RGsgM">ZIP code*</span></label></div>
        </div>
        <div class="col-md-6">
          <div class="contactUs_form-group__Oxrtr contactUs_aligner-field-css__OUDl8"><label class="contactUs_has-float-label__oWgCl"><input type="tel" name="aligner_number" value="" id="alignernumber" placeholder=" " maxlength="8"
                pattern="^[0-9]{6,8}$" class="contactUs_form-control__2DX7j aligner_number"><span class="contactUs_labelName__RGsgM">Aligner Number (optional)</span><span class="contactUs_alignerinfo__ciKnl"><span><img alt=""
                    class="contactUs_infolink__u8_WC"></span></span></label></div>
        </div>
        <div class="col-md-6"></div>
        <div class="contactUs_prefrence-time-css__QnfOi col-md-12"><label class="contactUs_prefrence-label-css__VK2zH">Preferred contact time*</label>
          <div class="contactUs_radio-wrap__2nSzW contactUs_radio-prefernce-btn__3BlU6"><label class="contactUs_radio-style__QX440"><input type="radio" name="preferredTime" value="morning"
                class="contactUs_form-control__2DX7j preferredTime"><span>morning</span></label><label class="contactUs_radio-style__QX440"><input type="radio" name="preferredTime" value="afternoon"
                class="contactUs_form-control__2DX7j preferredTime"><span>afternoon</span></label><label class="contactUs_radio-style__QX440"><input type="radio" name="preferredTime" value="evening"
                class="contactUs_form-control__2DX7j preferredTime"><span>evening</span></label><label class="contactUs_radio-style__QX440"><input type="radio" name="preferredTime" value="no preference" checked=""
                class="contactUs_form-control__2DX7j preferredTime"><span>no preference</span></label></div>
        </div>
        <div class="col-md-12"><span class="contactUs_labelName__RGsgM contactUs_comment-heading-css__FGyy6">Let us know how we can help:*</span>
          <div class="contactUs_form-group__Oxrtr cu-comment-label contactUs_comment-css__rUnZ4"><label class="contactUs_has-float-label__oWgCl contactUs_comment-label-sec__MugHS"><textarea name="comments" rows="4" cols="20" id="comments"
                class="contactUs_form-control__2DX7j comments" placeholder=" " form-placeholder="Let us know how we can help:*" variant="outlined" label="PROJECT SHORT_DESCRIPTION"></textarea></label></div>
        </div>
        <div class="col-md-12">
          <div class="contactUs_form-group__Oxrtr contactUs_custom-checkbox__1ZzML contactUs_contact-checkbox__h2Lxo"><input type="checkbox" name="optin" value="true" checked="" id="optin"
              class="custom-control-input contactUs_form-control__2DX7j optinundefined"><label class="contactUs_custom-control-label__9Vbt2" for="optin">I agree to receive information about Invisalign treatment from Align Technology, Inc. by email,
              which may contain special offers, information on local providers, and requests for feedback about my experience. I also consent to Align contacting me by phone and/or text solely for the purposes of assisting me in finding an Invisalign
              provider and scheduling an appointmentYour personal data will be processed in accordance with our &nbsp;<a href="../privacy-policy.html" target="_blank">Privacy Statement</a>.</label></div>
        </div>
      </div>
    </div>
  </div>
  <div class="contactUs_contact-btn-submit___RpZK row">
    <div class="col">
      <div class="contactUs_form-group__Oxrtr contactUs_get-start__WvlAE"><button type="submit" class="btn-primary">Submit</button></div>
    </div>
  </div>
  <div class="row"></div>
</form>

Text Content

My Invisalign Patient Login| For Doctors
Take the Smile AssessmentFind a Doctor:Go
MENU
How Invisalign Works
How Invisalign Works
Living with Invisalign Clear Aligners
Before and After
Compare Treatment Options
How is Invisalign Different?
The Invisalign Difference
Invisalign Digital Experience
Invisalign® First
Treatable Cases
Teens, Adults and Little Smiles
Treatable Cases
Crowded teeth
Overbite
Underbite
Crossbite
Gap Teeth
Open bite
Baby and Permanent Teeth
Generally straighter teeth
Invisalign Cost
Invisalign Cost
Ways to Pay for Invisalign Treatment
Financing Invisalign Treatment
Get Invisalign
Invisalign® SmileView
Get Invisalign
Request an Appointment
Find a Doctor
Take the Smile Assessment
Contact Us
Questions to Ask Your Doctor
Vivera® Retainers
Vivera Retainers
Vivera Retainers Cost
Vivera Retainers FAQs
Am I a Candidate?
Shop Accessories
My Invisalign Patient Login

Take the Smile AssessmentFind a Doctor


HOW CAN WE HELP?

Unsure of your next step? Got questions about teeth straightening?

Our Smile Concierge Team can help you get answers.

Tell us about yourself:

I am a: * (Select one)
teenparentadult
Are you currently in Invisalign® treatment?
yesno
Your info*
First name*
Last name*
Date of Birth*
Email address*
Contact phone*
ZIP code*
Aligner Number (optional)

Preferred contact time*
morningafternooneveningno preference
Let us know how we can help:*

I agree to receive information about Invisalign treatment from Align Technology,
Inc. by email, which may contain special offers, information on local providers,
and requests for feedback about my experience. I also consent to Align
contacting me by phone and/or text solely for the purposes of assisting me in
finding an Invisalign provider and scheduling an appointmentYour personal data
will be processed in accordance with our  Privacy Statement.
Submit



How Invisalign Works
Living with Invisalign Clear AlignersBefore and AfterCompare Treatment Options
How is Invisalign Different?
Invisalign Digital ExperienceInvisalign® First
Treatable Cases
Teens, Adults and Little Smiles Crowded teethOverbiteUnderbiteCrossbiteGap
TeethOpen biteBaby and Permanent TeethGenerally straighter teeth
Get Invisalign
Invisalign® SmileViewRequest an AppointmentFind a DoctorTake the Smile
AssessmentContact UsQuestions to Ask Your Doctor
Invisalign Cost
Ways to Pay for Invisalign TreatmentFinancing Invisalign Treatment
Vivera® Retainers
Vivera RetainersVivera Retainers CostVivera Retainers FAQs Am I a Candidate?
Shop Accessories
Become a Provider
Professional Whitening
AboutFAQCareersUser LoginDoctor LoginTerms of Use SitemapPrivacy
United States

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